OrganizationActive
Dva Healthcare Renal Care Inc
NPI 1952362519 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lake St Louis, MO
Provider details
- NPI number
- 1952362519
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Sr Director Licensure&certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
200 Brevco Plz Ste 201
Lake St Louis, MO 63367
Phone: (636) 561-4799
Fax: (636) 561-4533
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Lake St Louis Dialysis
- Doing business as
- Lake St Louis Dialysis
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2023-08-22
- Certified
- 2023-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.